Health Fund Audit & Assurance Lead

Employment Term: Permanent Full Time

Location: Ann Street, Brisbane CBD

Remuneration: $45.24 p/h + Super + Salary Packaging Benefits

Make a meaningful difference

At UnitingCare, we're committed to improving the health and wellbeing of the communities we serve. With a proud history of providing exceptional healthcare services across Queensland, we strive to create positive outcomes for our patients, people and partners every day.

We are seeking a motivated and experienced Health Fund Audit & Assurance Lead to join our Revenue Services team. This role offers the opportunity to lead a specialised audit function, drive best practice processes and contribute to the financial sustainability of our hospital services through strong governance, compliance and revenue assurance activities.

Your part in our Revenue Services Team

The Health Fund Audit & Assurance Lead is responsible for supporting and processing health fund audits, identifying discrepancies, and ensuring compliance with payer guidelines and regulatory standards. This role plays a critical part in minimising revenue leakage, reducing billing and eligibility errors, and supporting accurate reimbursement outcomes.

Leading a small team, you will provide expert guidance, drive best practice audit processes and collaborate with stakeholders across hospital operations to strengthen compliance and optimise revenue integrity.

Key duties will include:

Lead a small team dedicated to health fund audits, including desktop and onsite reviews.

Lead and provide an exceptional audit review and reconciliation service, establishing best practice processes.

Maintain detailed audit logs and prepare reports for management, identifying trends, findings and recommendations.

Monitor trends in health fund audit results and escalate identified issues to support ongoing education and improvement initiatives.

Monitor and action Queensland Health HCP data validation errors and implement corrective actions to minimise recurring issues.

Provide training and guidance to staff on compliance requirements and audit readiness.

Collaborate with Coding, Billing, Hospital Registration and Clinical teams to ensure accurate charge capture and documentation alignment.

Support the identification and resolution of billing, eligibility and compliance discrepancies.

Maintain strong relationships with key internal and external stakeholders.

Contribute to continuous improvement initiatives to enhance audit outcomes and minimise revenue leakage.

What makes a difference for us?

Essential:

Demonstrated experience in health fund audits, revenue assurance, hospital billing or a related healthcare environment.

Strong understanding of health fund contracts, healthcare funding and reimbursement processes.

Experience leading, coaching or mentoring team members.

Strong analytical and problem-solving skills with exceptional attention to detail.

Excellent communication and stakeholder engagement skills.

Proven ability to manage competing priorities and work autonomously.

Strong computer skills, including Microsoft Excel and other Microsoft Office applications.

Desirable:

Knowledge of acute hospital billing requirements, revenue codes, ICD-10 coding, MBS items, prosthetics and private health fund contracts.

Experience working within private hospital administration, patient accounts, health fund auditing or revenue services.

Understanding of Queensland Health HCP reporting requirements and validation processes.

Certificate III in Business Administration or equivalent qualification.

Knowledge of medical terminology.

What makes a difference for you?

NFP Salary Packaging: Save tax and increase your take home pay by salary packaging your everyday living expenses and bills (up to $15,900) and meal entertainment (up to $2,650) per annum. To learn more about this benefit watch the video via the following link: Salary Packaging Explained

Flexible work arrangements to support work-life balance

A recognition and rewards platform, providing employee discounts at hundreds of retailers, including everyday expenses, holidays, health insurance, annual awards celebration, wellbeing and employee assistance programs

12 weeks paid parental leave and 2 weeks paid partner leave, available after 6 months service, in addition to the government scheme

Diversity and inclusive leave, offering paid gender affirmation leave and cultural leave options (paid and unpaid) for those who may celebrate Lunar New Year, Diwali, Ramadan, NAIDOC weeks and other significant cultural events

Career development opportunities to challenge yourself, grow and make a meaningful difference

A positive and inclusive team based on respect, shared standards, strong values and a commitment to serving others

We’d love you to be part of our UnitingCare family

By joining our Hospitals, you’ll also be welcomed as part of the UnitingCare family. The second-largest Queensland employer, we’re a proud not-for-profit with more than 17,500 staff and 9, 000 volunteers across our brands of BlueCare, Lifeline, ARRCS, The Wesley Hospital, Buderim Private Hospital, St Stephen’s Hospital, and St Andrew’s War Memorial Hospital, and have been leading by example for more than 100 years. Our team are compassionate, inclusive and committed to the work we do, helping people live life in all its fullness.

Child safe, Child friendly

UnitingCare is committed to being a Child Safe, Child Friendly organisation and will:

provide welcoming, safe and nurturing services for children

implement measures to prevent child abuse and neglect within our services

appropriately and immediately address child abuse and neglect if it does occur

Diversity & Inclusion

Our approach is simple – everybody is welcome here. At UnitingCare, diversity is at the core of our who we are, our mission and our values. We are committed to providing equal opportunities to all employees no matter their sex, race, culture, sexual orientation, disability or gender identity. Demonstrating our commitment to reconciliation and building long-term employment opportunities for First Nations peoples, UnitingCare strongly encourages Aboriginal and Torres Strait Islander applicants for this position.

Safe workplace

We work hard to make our services welcoming and safe for every person. We are united in keeping children, young people and the elderly safe from harm, within our services, workplaces and the communities we support. We are committed to speaking up loudly for their safety.